Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE Mf7 ?#/co -?;:::-LJ>~ c~~ <br />OWNER'S ADDRESS 7 c) JD r;;.,-// 6'Lv& <br /> <br />PHONE /<fr O~~/ <br /> <br />JOB ADDRESS <br /> <br />.(~C <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration ~epair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: _Single Faaily _H/F _' of Units _H/H <br /> _ec-ercial _Indust. _Swia. Pool \C' Other <br /> <br />_Restaurant &: Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: A-J.U)H <br /> <br />Lvv$t <br /> <br />h ~.d ,'iJp~ <br />Square Feet, F1 <br /> <br />C> tC>z.. S ~z:::r <br />, <br /> <br />BUILDING SIZE: I (- X.J$, CflJ <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />./ <br />i/ BUILDING <br /> <br />$ <br /> <br />). ~)/)o;:!__ <br />" ." C- /C-V ' <br />/ <br /> <br />Valuation of Total Construction. <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />~h# <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />() <br /> <br />FT. <br /> <br />BUILDER <br /> <br /><7) /' <br />V <br /> <br />IS PROJECT IN FLOOD ZONE AREA? _ .x <br />YES NO ___ <br />~17j <br />CONTRACTOR SECTION -r ~'6 <6 .... <br /> <br />COMPANY /~it ~,,# <br />State Cert. or Regist. , A. ~ 0 c.;~ y ;/~/ <br />City License Registration' /t<yV <br />.....................**..........********. r <br /> <br />.............................*.*...******* <br /> <br />Signature ( <br /> <br />",..- <br /> <br />RT RC'l'RICIAN COMPANY <br />State Cert. or Regist. * <br />SiRnAture City License Registration , <br />**************.****.***.***.**.*********** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />**.****.***.**.****.***********.*********. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />**..*****.*.******.*.***.*****.**.******** <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />*****.************************************ <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />